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Individual

MS. MARTHA JOYCE KJOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8299 161ST AVE NE, SUITE 101, REDMOND, WA 98052-3860
(425) 881-8813
(425) 869-7201
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003804
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
127603
LABOR & INDUSTRIES
WA
05
8355612
WA
01
970014933
MEDICARE RAILROAD
WA
01
KJ3097
BLUE SHIELD
WA
Enumeration date
11/16/2005
Last updated
02/16/2011
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